在少数患者群体中,药剂师主导的高血压管理
Journal of the American Pharmacists Association : JAPhA
|November 23, 2023
概括
药剂师主导的干预措施显著改善了患有高血压的成年少数群体的血压控制. 这种方法增强了BP管理,为服务不足的人群提供了心血管健康的重要策略.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 高血压影响了近一半的美国成年人,少数群体的控制率较低.
- 药剂师主导的干预措施已被证明是改善血压控制和降低心血管风险的有效措施.
研究的目的:
- 利用电子健康记录 (EHR) 数据通过药剂师主导的干预来加强血压 (BP) 控制.
- 评估药剂师主导干预措施在少数患有不受控制的高血压的人群中的有效性.
主要方法:
- 在郊区内科诊所进行前性队列研究.
- 使用EHR数据识别患有失控高血压的患者.
- 纳入标准:成年人 (≥18岁),持续不控制的高血压,少数种族/族裔.
主要成果:
- 70.9%的干预组患者达到目标血压 (<140/90 mm Hg),对照组的32.7% (P < 0.001).
- 最常见的干预措施包括生活方式改变,血压监测教育和药物坚持支持.
- 该研究招募了110名患者 (每组55名),平均年龄为62岁,主要是女性和非洲裔美国人.
结论:
- 药剂师主导的干预措施在管理持续不受控制的高血压方面显示出显著的临床和统计改善.
- 这种方法有效地改善了少数群体中高血压的结果.
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